Evidence map›Paper›PMID 40717859›Full record

ReviewHeart rhythm O22025

Cardiac implantable electronic devices in the setting of tricuspid valve intervention: Risks, options, extraction and future perspectives: A state-of-the-art review.

Alphonsus Liew, Nadeev Wijesuriya, Sandra Howell, Felicity de Vere, Joshua Wilcox, Tiffany Patterson, Steven Niederer, Christopher Aldo Rinaldi

Abstract readReview
In one paragraph

Review in Heart rhythm O2, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Jailed or freed? The lead dilemma in transcatheter tricuspid valve replacement.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alphonsus LiewSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Nadeev WijesuriyaSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Sandra HowellSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Felicity de VereSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Joshua WilcoxCardiovascular, Faculty of Life Sciences & Medicine, King's College London, United Kingdom, Cardiovascular Department, Guy's & St. Thomas' NHS Foundation Trust, United Kingdom.
Tiffany PattersonCardiovascular, Faculty of Life Sciences & Medicine, King's College London, United Kingdom, Cardiovascular Department, Guy's & St. Thomas' NHS Foundation Trust, United Kingdom.
Steven NiedererNational Heart and Lung Institute, Imperial College London, United Kingdom.
Christopher Aldo RinaldiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom, Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tricuspid regurgitation is associated with increased risk of heart failure and mortality. To address this, tricuspid valve (TV) interventions in the form of transcatheter and surgical TV procedures have rapidly emerged. TV interventions are associated with a significant risk of conduction system disease necessitating permanent pacemaker (PPM) implantation. Limited data and current guidelines suggest that transvalvular PPM should be avoided to preserve the function of replaced or repaired TVs. With the rapid increase of transcatheter tricuspid valve-in-valve replacements in the last decade, the incidence of pre-existing PPM lead entrapment poses a clinical challenge in which lead extraction is indicated, particularly in the context of device infection. In this review article, we discuss the risks of conduction system disease associated with different TV interventions, the options for pacing, defibrillator therapy and cardiac resynchronization therapy that spare the TV, and the management of pre-existing transvalvular pacing leads before TV intervention. Furthermore, we discuss the future perspectives in this field, including a completely leadless cardiac resynchronization therapy-defibrillator system, and propose an algorithm for cardiac implantable electronic devices (CIED) implantation during or after TV intervention.

Indexed as

Coronary sinus pacingLead entrapmentLead jailingTricuspid regurgitationTricuspid valve-in-valveTricuspid valve repairTricuspid valve replacement

Identifiers

PMID40717859
PMCPMC12287958

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.